Individual provider Active NPI

Bradley Maurice Lemberg, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Cincinnati, OH
National Provider Identifier
1891712634
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
35031830 Issued in OH
Practice address
752 Waycross Rd
Cincinnati, OH 45240-3184
Phone
(513) 825-5454
Fax
(513) 825-5454
NPI assigned
Jul 17, 2006
Last updated
Apr 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 35031830 OH Primary

Addresses

Primary practice location

752 Waycross Rd
Cincinnati, OH 45240-3184

Mailing address

752 Waycross Rd
Cincinnati, OH 45240-3184
Phone (513) 825-5454

Other identifiers 1

IdentifierTypeStateIssuer
0168956MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35031830OHMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County ENT Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1891712634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 WAYCROSS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403184",
            "telephone_number": "513-825-5454",
            "fax_number": "513-825-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 WAYCROSS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403184",
            "telephone_number": "513-825-5454",
            "fax_number": "513-825-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMBERG",
        "first_name": "BRADLEY",
        "middle_name": "MAURICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "OH",
            "license": "35031830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0168956",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.